Danilo A. Manialong Jr.

Manialong Jr, Danilo A. 234 Zone 5 Pantoc, Aliaga, Nueva Ecija, Philippines Contact no.: (- E-mail:-Skype:- Career Objectives: To secure a position in the organization that offers challenge and opportunity for my career development and at the same time serve the organization to the best of my capabilities. I would like to gain new skills while utilizing my current area of expertise of procurement and employee satisfaction services within a positive team environment. Working Experience: CHRM @ Sourcefit Philippines Inc. July 29, 2019 - Present st 21 flr. CyberOne Bldg., Eastwood Cyberpark, Bagumbayan, Quezon City Medical Biller / AR Specialist Duties and Responsibilities  Account Receivable / Follow ups o Accounts receivable analysis with corrective and preventive actions and decision making for Collections. o Strong claims follow up on denials from insurances assigned.  Claim Analyst o Charge entry o Claim submission. MedLoop US th 4 flr, PCCI Blg. Upper McKinley, McKinley Hill, Taguig City Senior Client Specialist Duties and Responsibilities *End to end billing process:  Eligibility and patient’s demographics  Authorization verification  Charges Entry  Payment posting, Insurance and Patient payments.  AR and follow-ups *Daily reporting *Monthly balancing report April 2018 – May 1, 2019 PEAK OUTSOURCING 18th flr Citibank Tower Blg., Paseo Street, Makati City Medical Billing Specialist (Ultimate Billing Management Account) July 12, 2017 – May 2018 Duties and Responsibilities *Responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. *Obtaining referrals and pre-authorizations as required for procedures. *Checking eligibility and benefits verification for treatments, hospitalizations, and procedures. *Reviewing patient bills for accuracy and completeness, and obtaining any missing information. *Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. *Preparing Insurance and patient payment. *Posting Insurance explanation of benefits (payments), Downloadable from specific websites and System generated payments PHYSICIANS BILLING SOLUTIONS Medical Biller / Team Leader for Payment Dept 31st B 31st floor Rufino Plaza Blg. March 2012 – July 2017 Ayala Ave. Makati City, Philippines Duties and Responsibilities *Responsible in processing Doctor’s Service payments, electronically (ERA-EFTs) and all paper checks (Lockbox). *Following up on unpaid claims within standard billing cycle timeframe. *Checking each insurance payment for accuracy and compliance with contract discount. *Calling insurance companies regarding any discrepancy in payments if necessary *Identifying and billing secondary or tertiary insurances. *Creating reports and making sure all payments and bank statement are tally. * End of the month reporting. L.F. GONZALES COLLEGE OF SCIENCE AND TECHNOLOGY ICT Director Maharlika Highway, San Leonardo Nueva Ecija, Philippnes Duties and Responsibilities * Teaching computer base subject * Teaching Computer Programming * Responsible in computer laboratory maintenance. * In charge in computer laboratory inventory. * Technical support August 14, 2008 – March 31, 2010 PETNET INC. WESTERN UNION Senior Front Line Associate East Offices Blg. Aguirre street, Lagaspi Villages Makati City, Philippines Duties and Responsibilities *Responsible as a teller *Provides customer service *In charge in file documentation. *Making summary reports of Daily transaction. *Assisting customer on sending and Receiving money transfer Training and Assessment: *MicroCadd Institute Inc. Makati City COMPREHENSIVE AUTOCAD AUTOCAD Comprehesive 2015 The Gallery Bldg., Amorsolo st. Legaspi Village Makati City Year 2015 *Technical Education Skills and Development Authority (TESDA) Cabanatuan City HARDWARE SERVICING NC II Year: 2008 Competency Base Assessment La Fortuna College Maharlika Highway, Daan Sarile Cabanatuan City *CAPITOL WIRELESS INC.-CAPWIRE I.T. Department, Technical Support (OJT) 106 C. Palanca Jr. Street. Legaspi Village. Makati City June 13-Oct. 28, 2005 August 16, 2006 – February 10, 2008 Duties and Responsibilities *Responsible for installation of hardware and software application *Analyze computer setup *In charge on assembling computer part *Encoder *Performs other duties as may be assigned by my trainer. Knowledge and Skills Technical Skills * Computer Hardware specialist with National Certificate (NC) from Technical Education Skills and Development Authority (TESDA) * Qualified Trainer and Assessor for Hardware Servicing NC II * Computer Literate, e.g. MS Office * Computer Technical skilled e.g. Networking and Computer Troubleshooting * Good Communication Skills * Knowledgeable in Programming and Design * Know how to install and configure computer software and hardware application. Medical Billing Skills 1. Managed Professional/Hospital billing for providers which includes Charges, Demographics, Charges, Payments, Clearing House Rejections, & Denials. 2. Manage Charges & Payment, Hospital / Outpatient Billing for internal medicine group, foot care, vision care, urgent care, neurology and psycho therapy care for Hawaii, Michigan, and New York providers. I have worked on full RCM cycle in the last 9 years from the given below  Demographics Entry o Insurance Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. o Create appointments on scheduler while receiving patient calls  Patient Demographic Entry  Charge Entry  Claim Submission(Primary & Secondary Insurance)  Payment posting (insurance and Patient payments)  Rejection Reports  Basic coding  Authorization  Insurance Verification  Account Receivable / Follow ups o Accounts receivable analysis with corrective and preventive actions and decision making for Collections. o Strong claims follow up on denials from insurances like Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)  Patient Calling With work experience on the following PMS and EMR Software  Akamai  Next Gen  Kareo  AdvanceMD  Med Gen Clearing House:  3. Emdeon Educational Attainment: Tertiary: ABE International College of Business and Accountancy Cabanatuan City – Bachelor of Science in Information Management Secondary: Aliaga National High School Pob. East 2 Aliaga, Nueva Ecija Primary: Pantoc Elementary School Pantoc Aliaga, Nueva Ecija - - Seminar Attended • • • • • Empowering Teachers for 21st Century Learners Dynamic Leadership and Time Management Cutting Edge in Information Technology Visual Basic .Net Computer Assembly, Installation and troubleshooting-CAIT Personal Information Date of Birth: March 19, 1986 Age: 35 Gender: Male Nationality: Filipino Reference: Lovely May Patalinghag Conifer - Operation Manager - Michael Rafa Medloop US - QA-Auditor - Luigi Simbulan Acquire BPO- Senior Recruitment Specialist - I hereby to certify that the above information is true and correct with all of my knowledge and skills. DANILO A. MANIALONG JR